With the new “Krankenhausstrukturgesetz”, policy makers took many steps into the right direction of reforming Germany’s health care system. Nevertheless, especially in regard to providing the set up for a sustainable future emergency care there is a lot still to be done. In eleven claims, this RWI Position points out those areas in which action is most urgently needed. Among these are setting up a clear definition of an emergency case, assuring a higher quality of medical professionals and caring processes, and initiating a specific strand of research on emergency care. In addition, we provide a detailed description of one of the most crucial reform ideas, namely establishing intersectoral emergency care centres (Intersektorale Notfallzentren) in each region.